The most common clinical complications associated
with resin bonded prostheses are identified along with methods of
minimizing or preventing them. Methods of managing the complications are
described when they do occur.

Metal-ceramic crowns have been widely and successfully used to many decades
but today there are more all-ceramic restorations being placed. This
presentation will compare the two types of restorations based on the factors
most important to dentists and their patients.

The most common clinical complications
associated with all-ceramic crowns are identified along with methods of
minimizing or preventing them. Methods of managing the complications are
described when they do occur.

Soft tissue complications present biologic problems that can lead to
bone and implant loss and this presentation will discuss the
factors that cause such problems occur and how they could
have been minimized or avoided.

A large number of mechanical complications have been reported in the dental
literature that could have been prevented through proper planning and design.
This presentation will review the complications and discuss how to avoid
unfavorable loading.

The most common clinical complications associated with
metal-ceramic and all-metal restorations are identified along with methods of
minimizing or preventing them. Methods of managing the complications are
described when they do occur.

There are a
number of factors that must be determined both during diagnosis
and during treatment to provide optimal success with all-ceramic crowns. This presentation
will describe these factors that optimize success.

February 2018The primary objective of this systematic review was to
investigate the survival of full-coverage restorations fabricated by using
digital impressions (DIs) versus that of those fabricated by using conventional
impressions. The authors also compared secondary outcomes of marginal and
internal fit and occlusal and interproximal contacts. The authors conducted a
systematic literature search in multiple databases to identify clinical trials
with no restrictions by publication type, date, or language. The authors
assessed study-level risk of bias and outcome-level strength of evidence. The
authors performed a meta-analysis by using a random-effects model.

February 2018Perioperative bleeding complications of ticagrelor, a newer
oral antiplatelet, has not been studied in dentistry. Studies about bleeding
status after oral surgical procedures in patients receiving continued
antiplatelet therapy are also limited. We investigated the effects of continuing
aspirin, clopidogrel, ticagrelor, or dual antiplatelet therapy on the frequency
of bleeding events in patients undergoing tooth extractions or minor oral
surgery. In this retrospective study, patient demographic characteristics,
medical history, type of antiplatelet therapy, dental procedures, and
perioperative bleeding associated with tooth extraction or other minor oral
surgical procedures were obtained from the dental records of 222 patients.
Bleeding was classified as normal, mild, moderate, or severe.

February 2018The dental setting is a potential venue for identifying
patients experiencing intimate partner violence (IPV). The study objective was
to assess dentists’ current practices and attitudes about IPV screening. A
nationally representative survey of US general dentists assessed dentists’ use
of health history forms that queried about IPV and their acceptance of IPV
screening as part of their professional roles. Parsimonious Poisson regression
models were used in multivariable analysis to estimate risk ratios for the 2
dependent variables.

December 2017A lesion on an
occlusal tooth surface with no cavitation and no radiographic radiolucency but
in which caries is suspected owing to surface roughness, opacities, or staining
can be defined as a suspicious occlusal carious lesion (SOCL). The authors’
objective was to quantify the characteristics of SOCLs and their relationship to
lesion depth and activity after these lesions were opened surgically.
Ninety-three dentists participated in the study. When a consenting patient had
an SOCL, information was recorded about the tooth, lesion, treatment provided,
and, if the SOCL was opened surgically, its lesion depth. The Rao-Scott
cluster-adjusted c2 test was used to evaluate associations between lesion depth
and color, roughness, patient risk, and luster.

December 2017The authors updated a
previously published systematic review to assess the effects of low-level laser
therapy (LLLT) on reducing complications after the removal of impacted
mandibular third molars. The authors searched for randomized clinical trials in
which the investigators evaluated the efficacy of LLLT compared with that of
placebo or no treatment. Two reviewers independently screened studies, extracted
data, and assessed risk of bias. The authors used random effects model
meta-analysis and the Grading of Recommendations Assessment, Development and
Evaluation approach to rate the certainty of evidence.

December 2017No evidence-based
guidelines exist for preventive dental care before radiation therapy (RT) in
patients with head and neck cancer (HNC). An ongoing multicenter, prospective
cohort study, Clinical Registry of Dental Outcomes in Head and Neck Cancer
Patients (OraRad), is addressing this knowledge gap. The authors evaluated the
level of dental disease before RT in the OraRad cohort, factors associated with
dental disease, and dental treatment recommendations made before RT. As part of
OraRad, the authors assessed caries, periodontal disease, dental
recommendations, and dental interventions performed before RT.

November 2017In this systematic review and metaanalysis, the authors evaluated the pain
during scaling and root planing with use of topical anesthetic versus that with
the use of injected anesthetic in adult patients. The authors searched 6
databases for randomized clinical trials in which the investigators compared the
clinical effectiveness of intrapocket and injectable anesthetics. The primary
outcome was the risk of developing pain or intensity of pain. Quality assessment
followed the guidelines from the Cochrane Collaboration’s risk-of-bias tool. The
authors performed meta-analyses on studies considered at low and unclear risk of
bias.

November 2017This six article annual JADA supplement explores the
benefits of baking soda and oral health. This supplement has been sponsored by
Church & Dwight Co., Inc. All content has been peer reviewed by the
designated editors of The Journal of the American Dental Association (JADA). The
opinions or views expressed in this supplement are those of the authors, and do
not necessarily reflect the opinions or views of The Journal, Church &
Dwight Co., Inc., or those of the American Dental Association.

November 2017Objectives were to determine the likelihood that a clinician accepts an
impression for a single-unit crown and document crown remake rates. The authors
developed a questionnaire that asked dentists about techniques used to fabricate
single-unit crowns. The authors showed dentists photographs of 4 impressions and
asked them to accept or reject each impression. The authors correlated answers
with dentist and practice characteristics. Other questions pertained to
laboratory use and crown remake rates.

November 2017The authors examined the relationship between education debt and career
choice, particularly dentists’ decisions to specialize, participate in public
health insurance programs, and join dental management service organizations
(DMSOs). The authors used data from the American Dental Association 2015 office
database, which contains dentist demographic information and identifies dentists
who participate in public health insurance programs for pediatric dental care
services. The authors merged this database with the 2002-2015 American Dental
Association Survey of Dental Graduates, which contains information about
education debt, to assess the relationship between education debt and career
choices. The authors used probit and multinomial logit models to determine the
relationships among education debt, demographic characteristics, and dentist
career choices.

July 2017
Sugar-sweetened beverages (SSBs) are dietary sources of
sugar that are factors in caries development and tooth loss. Dietary sugar also
is linked to diabetes mellitus (DM). There is limited research related to SSBs
and tooth loss in people with DM. The authors investigated the association
between SSBs and tooth loss as it related to the presence or absence of DM. The
authors used a cross-sectional design with data reported by adults (18 years and
older) who responded to the 2012 Behavior Risk Factor Surveillance System
questionnaire, which was used in 18 states (N =
95,897; 14,043 who had
DM and 81,854 who did not have DM). The
authors conducted c2 and logistic regression analyses to determine associations
related to DM status.

August 2017Except for a small increase in caries prevalence in young
children from 1999 through 2004, the prevalence of pediatric caries in the
United States has remained consistent for the past 3 decades. The authors used
data from the National Health and Nutrition Examination Survey (NHANES) (from
1999 through 2004 and from 2011 through 2014) to ascertain changes in caries
prevalence in youth aged 2 to 19 years. The authors evaluated changes in the
prevalence of caries experience, untreated caries, and severe caries (3 or more
teeth with untreated caries) in the primary, mixed, and permanent dentition
according to poverty status.

December 2017A lesion on an
occlusal tooth surface with no cavitation and no radiographic radiolucency but
in which caries is suspected owing to surface roughness, opacities, or staining
can be defined as a suspicious occlusal carious lesion (SOCL). The authors’
objective was to quantify the characteristics of SOCLs and their relationship to
lesion depth and activity after these lesions were opened surgically.
Ninety-three dentists participated in the study. When a consenting patient had
an SOCL, information was recorded about the tooth, lesion, treatment provided,
and, if the SOCL was opened surgically, its lesion depth. The Rao-Scott
cluster-adjusted c2 test was used to evaluate associations between lesion depth
and color, roughness, patient risk, and luster.

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